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COMPLIANCE INFO_2011-2019
Environmental Health - Public
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PR0536151
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COMPLIANCE INFO_2011-2019
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Last modified
2/10/2023 2:54:13 PM
Creation date
7/3/2020 10:19:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2019
RECORD_ID
PR0536151
PE
4524
FACILITY_ID
FA0018490
FACILITY_NAME
LODI NURSING & REHABILITATION
STREET_NUMBER
1334
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03107032
CURRENT_STATUS
02
SITE_LOCATION
1334 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
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FilePath
\MIGRATIONS\MW\MW_4524_PR0536151_1334 S HAM__2011-2019.tif
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EHD - Public
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� P''U'"' co., MEDICAL WASNSPECTION REPORT <br /> z San Joaquin County Environmental Health Department Date: Z <br /> IN: <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Program <br /> (209)468-3420 Record: PAID <br /> www.sioov.om/ehd Program <br /> Element: _ <br /> Facility Name Address <br /> Lodi Nursing and Rehabilitation 1334 s.ham lane CRY Zip Code <br /> Lodi 95242 <br /> Facility Contact Title Phone Number <br /> Email Inspection Type <br /> Janina Kihithau Staff Developer 209-334-3825 janinak@aspensk Routine <br /> iiledheai ---- <br /> The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). <br /> Registration Treatment <br /> ❑ 1 HSC 117890 No LOG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall <br /> registered with the EA. ❑ 17. be permitted by the EA. <br /> ❑ 2 HSC 117950-LOG shall register with the EA prior to <br /> generating medical waste. ❑ 18. HSC 118165-Ail treatment records shall be kept for 3 years. <br /> ❑ 3 HSC 117903-Permit from the EA is required prior to treating ❑ 19 HSC 118215-All medical waste shall be treated pursuant to <br /> medical waste. this section. <br /> ❑ 4 HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be <br /> register with the EA. ❑ 20. disposed of by interment,incineration,or an approved <br /> alternative. <br /> HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo <br /> ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated <br /> under the MOT exemption. by incineration or an approved alternative. <br /> El 6 HSC 117928-Common Storage Facility shall have permit fissured by the EA. 22❑ HSC 118225-Sharps waste shall be treated pursuant to this <br /> section. <br /> ❑ 7 HSC 117890-LOG shall notify EA 72 hours prior to <br /> participating in temporary event. Containment/Storage <br /> ❑ 8 HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set <br /> - <br /> participating atin in temporary event. El 23. in this section. forth <br /> HSC 118275-Medical,biohazardous,sharps,trace chemo, <br /> Records/Documentation ® 24 pathology,or pharmaceutical waste shall be segregated and <br /> contained pursuant to this section. The container shall be <br /> properly labeled. <br /> ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25 HSC 118280- Biohazard bags shall be containerized and <br /> an <br /> stored pursuant to this section. <br /> ❑ 10. HSC 1179 -SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored <br /> treatment and shipping and tracking records for 3 years. ❑ 26" pursuant to this section. <br /> ❑ 11. HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated <br /> information document and transportation records for 3 years. ❑ 27' pursuant to this section. <br /> ® 12. HSC 117960-LOG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical <br /> waste shall not be used for other storage. <br /> El 13. HSC 117975-LOG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and <br /> tracking documents for 2 years. El 29' marked with proper signage. <br /> Transportation ❑ 30 HSC 118310-Designated accumulation area shall be secured <br /> and marked with proper signage. <br /> ❑ 14. HSC 117946-MOT exemption requirements for SOG. Other <br /> r <br /> ❑ 15. HSC 117976-MOT exemption requirements for LOG. ❑ 31. <br /> ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. <br /> Received by: Print: Janina Kitthau Signature: LA.. Phone:209-334-3825 <br /> Specialist: Print: J.Easter Signature: <br /> Phone: 209-953-7310 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. <br /> EH-11/17 Page 1 of 3 <br /> �� I <br />
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